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    The CRC Sabah Newsletter is a joint publication of the three CRC networks in

    Sabah which comprise CRC HQE, CRC HQE 2, and CRC Likas. The newslet-

    ter will update you with the activities organized by the CRCs, the upcoming

    events, and the research updates.

    In this issue, we are delighted to announce the upcoming inaugural Sabah

    Medical Research and Scientific Conference 2013 that will take place in the

    Postgraduate Medical Centre (PGMC), Queen Elizabeth Hospital, Kota Kina-

    balu, Sabah on 18th and 19th October 2013. The highlight of the event is the

    poster/oral competition which will be the platform to all healthcare profes-

    sionals and students to share their research works with their peers. For those

    who participate in this event, we would like to wish you the best of luck and

    see you there soon!

    WELCOME TO ISSUE 2 OF CRC

    SABAH NEWSLETTER

    CRCs Objectives are:

    1.To promote a culture ofresearch among healthcareworkers in Sabah.

    2.To disseminate skills inMethodology, Statisticaltools, and techniques indesigning and conducting

    clinical trials.

    3.To provide healthcareworkers the principle ofmethodology and biostatis-tics in clinical research.

    CRC SABAH Issue 2

    May - August 2013

    CRCs Vision

    To be a leading clinical research institution in Asia

    CRCs Mission

    To improve patients health outcomes through ethical and quality clinicalresearch

    Inside this issue:

    Page

    Welcome to Issue 2 of CRCSabah Newsletter

    1

    Investigator Initiated Research

    (IIR) and Industry Sponsored

    Research (ISR) Updates

    2

    Activities and Photo Gallery 6

    RCC Progress Report 8

    Contact Us 10

    Upcoming Events 10

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    CRC Sabah NewsletterIssue 2 (May-Aug 2013)

    No. NMRR ID Study Title Study Site1 NMRR-12-1183-14034

    Sequence Variants of Putave Tumor Suppressor Genes in Nasopharyngeal

    CarcinomaQEH

    2 NMRR-12-1105-13079 Molecular Phylogenec Analysis of Malaria Parasite Plasmodium knowlesi JKNS

    3

    NMRR-13

    -217

    -15663

    Research on Asian Psychotropic Prescripon Paerns for Andepressants

    Follow up survey in 2013

    HMBP

    4 NMRR-12-1324-13746 Malaysian Acromegaly Registry QEH

    5 NMRR-12-1175-13912The Funconal Improvement Aer Carpal Tunnel Release Using the Mini

    Open Technique in Hospital Queen Elizabeth IIQEH 2

    6 NMRR-13-196-15238Awareness and Atudes Towards HPV Vaccine and HPV-Related Diseases

    Among HPV Vaccine Seekers in Keningau Hospital, SabahKeningau Hospital

    7 NMRR-13-291-15704A Case Control Study on Environmental and Host-Related Factors Predis-

    posing to Tuberculosis in Kota KinabaluQEH

    8 NMRR-13-285-15720Clinical Presentaon of Leptospirosis. A Retrospecve Study of Paents

    Admied to a Single Instuon Lahad Datu Hospital, SabahLahad Datu Hospital

    9 NMRR-13-155-15167Are We Ready Ror the Early Discharge of People With Mental Illness Into

    the Community?HMBP

    10 NMRR-13-332-15632Development of Novel Biomarkers and Assessment of Health

    -Related Qual-

    ity of Life in Malaysian Paents With Nasopharyngeal CarcinomaQEH

    11 NMRR-13-332-15632Development of Novel Biomarkers and Assessment of Health-Related Qual-

    ity of Life in Malaysian Paents With Nasopharyngeal CarcinomaQEH

    12 NMRR-12-1135-12252

    A prospecve, Proof-of-concept Study to Evaluate High on-Clopidogrel

    Platelet Reacvity and its Role in Determining Treatment Strategy,

    Amongst Paents Presenng With Acute Coronary Syndromes or Undergo-

    ing Percutaneous Coronary Intervenon

    QEH 2

    13 NMRR-13-241-15699Sokongan Sosial Kepada Pesakit Yang Menghidapi "terminal illness" dan

    Mendapat Penjagaan Paliaf: Kajian Kes di Hospital Queen ElizabethQEH

    14 NMRR-13-429-14814Deliberate Self-Poisoning and Self-Injury Cases in Duchess of Kent Hospital,

    SandakanHDOK

    15 NMRR-13-410-15337

    An Evaluaon of Inial Vancomycin Dosing Based on Measured Serum

    Trough Concentraon in Paediatric Paents in SWACH: A Retrospecve

    Review

    HWKKS

    16 NMRR-13-404-15569

    Inuence of Age, Gender, Ethnicity and Distance of Hospital From Home

    Towards Time in Therapeucs Range (TTR) Among Warfarin MTAC Paents

    in Hospital Tawau

    Tawau Hospital

    17 NMRR-13-234-15329Prevalence and Idencaon of Plasmodium knowlesi in Humans, Ma-

    caques and Mosquitoes at Sabah, Malaysia

    QEH / Tenom

    Hospital

    18 NMRR-13-308-14792

    The Development and Tesng of a Model of Community Based Collabora-

    ve Care for Paents With Severe and Enduring Mental Disorders in Malay-

    sia: Phase 1.

    HMBP

    19 NMRR-13-590-15718 Database Registry of Children With Tuberous Sclerosis Complex HWKKS

    20

    NMRR-12

    -1377

    -14445

    Muldisciplinary Approach in Improving Health Outcomes of Psoriasis Pa-

    ents

    QEH

    21 NMRR-13-126-15119Prevenon of Post-ERCP Pancreas: A Randomized Clinical Trial using

    Rectal DiclofenacQEH

    22 NMRR-13-247-14802Validaon of the Malay version of the Strengths and Dicules Queson-

    naire (SDQ) for the Malaysian PopulaonHMBP

    23 NMRR-13-534-16348Kajian Kepenggunaan Portal MyHEALTH Dalam Kalangan Pesakit Hospital

    Kementerian Kesihatan Malaysia 2013JKNS

    24 NMRR-13-425-14815Substance Use Among Psychiatric npaents in Duchess of Kent Hospital,

    SandakanHDOK

    25 NMRR-13-354-16253 Amalan Gaya Hidup Sihat di Kalangan Paramedik Hospital Kuala Penyu Kuala Penyu Hospital

    26 NMRR-13-546-16814Atude and Percepons of Healthcare Professionals towards Clinical Phar-

    macy Services in Lahad Datu Hospital

    Lahad Datu Hospital

    Table 1: Investigator Initiated Research (IIR) approved by MREC

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    CRC Sabah NewsletterIssue 2 (May-Aug 2013)

    Table 2: Ongoing Industry Sponsored Research (ISR) in Sabah. May-Aug 2013.

    No. NMRR_IDDepartment/

    Unit

    Site

    InstuonResearch Title

    Research

    Subtype

    1NMRR-10-

    706-6055 Endocrine QEH I

    A Phase III, mulcentre, internaonal, randomised,

    parallel group, double blind cardiovascular safety

    study of BI 10773 (10 mg and 25 mg administered

    orally once daily) compared to usual care in type 2

    diabetes mellitus paents with increased cardiovas-

    cular risk.

    Intervenonal

    Study : ClinicalTrial

    2NMRR-10-

    628-5357Nephrology QEH I

    Phase IIb/III Clinical Study Protocol

    - Chronic Renal Failure (Primary Glomerular Dis-

    ease/Nephrosclerosis) -

    Intervenonal

    Study : Clinical

    Trial

    3NMRR-12-

    426-11014Rheumatology QEH I

    A Phase 3b, Mulcenter, Open-Label Study to Evalu-

    ate the Long-Term Safety and Ecacy of Subcutane-

    ous LY2127399 in Paents with Systemic Lupus Ery-

    thematosus (SLE) (ILLUMINATE-X)

    Intervenonal

    Study : Clinical

    Trial

    4 NMRR-

    12-

    1071-13841 Rheumatology QEH I

    A Randomized, Double-Blind, Placebo-Controlled 52-

    Week Study to Assess Adverse Events of Special

    Interest in Adults with Acve, Autoanbody-

    PosiveSystemic Lupus Erythematosus Receiving

    Belimumab

    Observaonal

    Study : ClinicalEconomics

    5NMRR-09-

    401-4109Rheumatology QEH I

    A Mulcenter, Randomized, Double-blind, Placebo-

    controlled Trial of Golimumab, an An-TNF Mono-

    clonal Anbody, Administered Intravenously, in

    Subjects with Acve Rheumatoid Arthris Despite

    Methotrexate Therapy

    Intervenonal

    Study : Clinical

    Trial

    6NMRR-10-

    1193-5556Rheumatology QEH I

    An observaonal study of Rheumatoid arthris pa-

    ents on adalimumab to Evaluate quality of LIfe

    Variables, Eects on work producvity and funcon-

    al outcomes in Malaysia

    Observaonal

    Study : Clinical

    Economics

    7NMRR-10-

    983-7456Rheumatology QEH I

    A Phase 3, Mulcenter, Randomized, Double-

    Blind,Placebo-Controlled Study to Evaluate the Ecacy

    and Safety of Subcutaneous LY2127399 in Paents

    with Systemic Lupus Erythematosus (SLE)

    IntervenonalStudy : Clinical

    Trial

    8NMRR-10-

    1203-7871Rheumatology QEH I

    A randomized, double-blind, parallel-group study of

    safety and the eect on clinical outcome of tocili-

    zumab SC versus placebo SC in combinaon with

    tradional disease modifying an-rheumac drugs

    (DMARDs) in paents with moderate to severe ac-

    ve rheumatoid arthris

    Intervenonal

    Study : Clinical

    Trial

    9NMRR-09-

    200-3744Rheumatology QEH I

    A Long-Term, Open-Label Follow-Up Study of Tofa-

    cinib (CP-690,550) For Treatment of Rheumatoid

    Arthris. Protocol No. A3921024

    Intervenonal

    Study : Clinical

    Trial

    10NMRR-11-

    865-9930Pathology QEH I

    Scienc Partnership for HER2 Tesng Excellence

    (SPHERE) Clinical Audit

    ObservaonalStudy : Paent

    registry/Clinical

    database

    11NMRR-11-

    800-10093Hematology/

    ENT/ OncologyQEH I/

    HWKKS

    Cancer and Its Economic Impact on Household in the

    ASEAN Countries HOUSEHOLD IN THE (ACTION

    Study)

    Observaonal

    12*NMRR-13-

    127-14699Oncology HWKKS

    A three-arm, randomized, open label, phase II study

    of everolimus in combinaon with exemestane ver-

    sus everolimus alone versus capecitabine in the

    treatment of postmenopausal women with estrogen

    receptor posive, locally advanced, recurrent, or

    metastac breast cancer aer recurrence or pro-

    gression on prior letrozole or anastrozole

    Intervenonal

    Study : Clinical

    Trial

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    CRC Sabah NewsletterIssue 2 (May-Aug 2013)

    No NMRR_IDDepartment/

    Unit

    Site

    InstuonResearch Title

    Research

    Subtype

    13NMRR-12-900-

    13137Hematology QEH I

    A Randomized, Open-label, mulcenter study to eval-

    uate paent preference with subcutaneous admin-

    istraon of Rituximab versus intravenous Rituximab in

    previously untreated paents with CD20+ diuse

    large B-Cell Lymphoma or CD20+ Follicular Non-

    Hodgkin's Lymphoma grade 1,2 or 3a

    Intervenon-

    al Study :

    Clinical Trial

    14NMRR-12-181-

    10976

    Gastroenterol-

    ogyQEH I

    A Mul-centre, Randomised, Double

    -blind, Placebo

    -

    controlled Trial to Determine the Ecacy and Safety

    of Hepar-P Capsule for the Treatment of Non-

    Alcoholic Fay Liver Disease (NAFLD)

    Intervenon-

    al Study :

    Clinical Trial

    15NMRR-11-1010-

    10697

    Gastroenterol-

    ogyQEH I

    A Phase 3, Safety and Ecacy Study of Boceprevi-

    r/Peginterferon Alfa-2a/ribavirin in Chronic HCV Gen-

    otype 1 IL28B CC Subjects

    Intervenon-

    al Study :

    Clinical Trial

    16NMRR-12-493-

    11112Respiratory QEH I

    A randomized, double-blind, double-dummy, 4-week

    treatment, parallel-group study to evaluate the eca-

    cy and safety of two doses of mometasonefuroate

    delivered via Concept1 or Twisthaler in adult and

    adolescent paents with persistent asthma

    Intervenon-

    al Study :

    Clinical Trial

    17NMRR-10-198-

    5403Cardiology QEH 2

    ProspeCve observaonal LongitudinAlRegIstryoF

    paents with stable coronary arterY disease

    Observaon-

    al Study :

    Paent reg-

    istry/Clinical

    database

    18NMRR-12-690-

    13000Cardiology QEH 2

    Asian Sudden Cardiac Death in Heart Failure (ASIAN-

    HF) Prospecve Observaonal Registry

    Observaon-

    al Study :

    Clinical Epi-

    demiology

    19NMRR-08-1443-

    2996Cardiology QEH 2

    Heart Outcomes Prevenon Evaluaon

    (HOPE)-3

    Observaon-

    al Study

    20*NMRR-12-715-

    12597Cardiology QEH 2

    A Double-blind, Randomized, Placebo

    -controlled,

    Mulcenter Study Assessing the Impact of Addional

    LDL-Cholesterol Reducon on Major Cardiovascular

    Events When AMG 145 is Used in Combinaon With

    Stan Therapy In Paents with Clinically Evident Car-

    diovascular Disease

    Intervenon-

    al Study :

    Clinical Trial

    21*NMRR-12-

    1102-13587Cardiology QEH 2

    A Randomized, Double-Blind, Placebo-Controlled,

    Parallel-Group Study to Evaluate the Eect of

    SAR236553/REGN727 on the ocurrence of Cardiovas-

    cular Events in Paents Who Have Recently Experi-

    enced an Acute Coronary Syndrome

    Intervenon-

    al Study :

    Clinical Trial

    22NMRR-10-753-

    6795Psychiatrics HMBP

    A Randomized, Double-blind, Placebo-Controlled,

    Parallel-Group Study of PaliperidonePalmitate Evalu-

    ang Time to Relapse in Subjects With SchizoaecveDisorder

    Intervenon-

    al Study :

    Clinical Trial

    23

    *NMRR-12-826-

    13119 Psychiatrics HMBPA Phase 3, Mulcentre, Randomized, Double-blind,

    Placebo-controlled Trial to Evaluvate the Ecacy,

    Safety, and Tolerability of Brexpiprazole(OPC-34712)

    as Maintenance Treatment in Adults with Schizophre-

    nia

    Intervenon-

    al Study :

    Clinical Trial

    24NMRR-09-654-

    4406Oncology HWKKS

    A Randomized, Mulcenter, Open-Label, Phase 3

    Study to Compare the Ecacy and Safety of Pani-

    tumumab and Cetuximab in Subjects with Previously

    Treated, Wild-Type KRAS, Metastac Colorectal Can-

    cer

    Intervenon-

    al Study :

    Clinical Trial

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    CRC Sabah NewsletterIssue 2 (May-Aug 2013)

    No NMRR_ID Department/Unit SiteInstuon Research Title ResearchSubtype

    25NMRR-11-395-

    9024Oncology HWKKS

    A Open-Label Study of Abiraterone Acetate in Sub-

    jects with Metastac Castraon-Resistant Prostate

    Cancer Who Have Progressed Aer Taxane-Based

    Chemotherapy

    Intervenon-

    al Study :

    Clinical Trial

    26NMRR-11-991-

    9842 Oncology HWKKS

    A Randomized, Double-blind, Placebo-controlled

    Study to Evaluate the Long-term Safety and Ecacy

    of Darbepoen Alfa Administered at 500 g Once-

    Every-3-Weeks in Anemic Subjects With Advanced

    Stage Non-small Cell Lung Cancer Receiving Mul-

    cycle Chemotherapy

    Intervenon-

    al Study :Clinical Trial

    27NMRR-11-1020-

    10569Oncology HWKKS

    A phase II prospecve, two-cohort non-randomized,

    mulnaonal, open label study to assess the safety of

    assisted-and self-administered subcutaneous

    Trastuzumab as therapy in paent with operable

    HER2-posive early breast cancer

    Intervenon-

    al Study :

    Clinical Trial

    28NMRR-12-50-

    10793

    Paediatric

    (Infecous

    Disease)

    HWKKS

    A hospital-based, retrospecve study of the burden of

    community acquired pneumonia in children aged

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    Page 6 Volume 1 , I ssue 1

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    Newslet ter Ti t le Page 7

    Table 3: Summary of ISR Status in Sabah. 2008 - 2013.

    ISR Status Total

    ISR CompletedISR OngoingSR UpcomingISR Terminated

    3535911

    Total 90

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    NEW CRC HQE2 ROOM, 28th JUNE 2013

    R E S E A R C H P R O T O C O L D E V E L O P M E N T W O R K S H O P , H Q E 2 , 1 8 - 1 9 T H M A Y 2 0 1 3

    THERMO GUARD INSTALLATION & TRAINING, HQE2, 4th JULY 2013Thermoguardis a system for automac central

    temperature monitoring. It is an industry standard for

    online temperature and humidity control via a computer

    network. In CRC, Thermoguardhas been used to monitor

    refrigerators that store the Invesgaonal Product (IP) in

    which the temperature needs to be maintained at a

    certain level. The system comprises intelligent sensor

    controllers with a network connecon, temperature

    sensor connected to the network and the Thermoguard

    soware.

    VISIT AND MEETING FROM CRM OFFICER, 8-9th JULY 2013

    Page 6

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    CRC Sabah NewsletterIssue 2 (May-Aug 2013) Page 9

    Site Initiation Visit ODYSSEY, HQE2 17th JULY 2013

    RESEARCH AWARENESS DAY , HOSPITAL KENINGAU, 27th JULY 2013

    Workshop on Basic Medical Biostatistics Using SPSS, SPU UMS, 27-28th Aug 2013

    CRC Sabah Network Meeting, CRC HQE, 15th August 2013

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    Page 8CRC Sabah NewsletterIssue 2 (May-Aug 2013)

    Clinical Research Centre Sabah, Hospital Queen Elizabeth (CRC,HQE) has developed a

    standard operating procedure for the research consultation clinic. It started the first formalresearch consultation clinic on 1 April 2013.

    39.3%(11 out of 28) of them were specialists from various departments. It was followed bypharmacists (25%) and medical officers (21.4%). Other categories of researchers who did cometo the research consultation clinic were science officers, medical lab technologists and dieticians.

    PRO GRESS REPO RT O F RESEARC H CONSULTATION C L INIC (RCC)

    Since the setting up of the research clinic, the response has been quite good. We recorded the

    highest number of researchers in July 2013 (15 clients with 9 new appointments). The ratio of

    new appointments and follow up appointments in a month was 1:2. The cumulative number of

    clients up to the end of Aug 2013 was 28 with 45 appointments.

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    CRC Sabah NewsletterIssue 2 (May-Aug 2013)

    Most of them were at the protocol development stage at the first consultation. About two thirds(67.8%, 19 researchers) came at the early stage of their research (ranging from literature searchto protocol review). 25% of them came for help in the data entry and analysis.

    Page 11

    About 35.7% of them were still in the protocol development stage at the end of August 2013.25%were at the process of data involvement either collection or analysis of the data. 7 of them (25%)have finished their research and had been writing their reports (2) or presented their researchresults at a conference (5).

    0

    1

    2

    3

    4

    5

    No

    type

    Type of first consultation

    10

    5

    4

    3 3

    2

    0

    2

    4

    6

    8

    10

    12

    No

    Outcome

    Research outcome

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    CRC Sabah NewsletterIssue 2 (May-Aug 2013)

    Contact UsClinical Research Centre

    Hospital Queen Elizabeth

    Locked Bag No 2029

    88586 Kota Kinabalu

    Sabah

    Tel: 088-517507

    Fax: 088-211906

    Email: [email protected]

    Clinical Research Centre

    Level 5, Cardiology Clinic

    Hospital Queen Elizabeth IILorong Bersatu

    Off Jalan Damai Luyang

    88300 Kota Kinabalu

    Sabah

    Tel: 088-324600 (2019)

    Fax: 088-272454

    Clinical Research Centre

    Hospital Wanita Dan Kanak-Kanak(Hospital Likas)

    Karung Berkunci No 187

    88996 Kota Kinabalu

    Sabah

    Tel : 088-522600

    Upcoming Events1. Inaugural Sabah Medical Research and Scienc Conference In Conjuncon With Sabah

    Research Day 2013

    Date : 18-19 October 2013 ( PGMC, Hospital Queen Elizabeth)

    Research Consultation ClinicProvide consultation services to facilitate

    researchers in:

    1. Research ideas

    Literature Search

    2. Research proposals Study design

    Sample size calculation

    Statistical analysis

    3. Data analysis

    4. Presentation / publication

    Consulting services are provided at the CRC unit.

    An appointment is required, and may be made

    by email or by phone:[email protected],

    [email protected]

    Tel: 088-517507 or 088-324600 ext 2019).

    TENTATIVE CONFERENCE PROGRAMPRE-CONFERENCE WORKSHOP18th October 2013 (Friday)

    8.00 am 11.45 amMAIN CONFERENCE DAY 118th October 2013 (Friday)8.00 am 5.00 pmMAIN CONFERENCE DAY 219th October 2013 (Saturday)

    7.30 am 5.00 pm

    Good Clinical Practice Refresher Workshop Opening ceremony by Deputy Director General of Health, Ministry of Health Malaysia Keynote lecture 1 & 2

    Keynote lecture 3, 4, 5 & 6 Oral Presentation Competition 1 & 2 Sessions Announcement of winners and prize giving ceremony

    2. Intermediate Biostascs Workshop

    Date: 28-30 October 2013

    Venue: Sekolah Perubatan (SPU), UMS

    Day Venue Time

    Monday CRC, HQE 8.00am-12.00 noon2.30pm-4.30pm

    Tuesday CRC, HQE 2(Level 5, Cardiology Clinic)

    8.00am-12.00 noon2.30pm-4.30pm

    Page 10